person
Ms. Yvonne M Mccall, PA
Medical Physician Assistant in Peoria, Illinois
NPI 1922168293

Yvonne M Mccall is a Medical Physician Assistant based in Peoria, IL and is specialized in Medical. Yvonne M Mccall practices in Peoria, IL and has the professional credentials of PA. The NPI Number for Yvonne M Mccall is 1922168293 and holds a License No. 5160373-1206 (Illinois).

The current practice location address for Yvonne M Mccall is 1701 W. Garden Street, Peoria, IL and can be reached out via phone at 309-680-7600 and via fax at 309-680-7637.

Location: 1701 W. Garden Street, Peoria, IL, 61605-3531
person
Provider Profile Details
NPI Number
1922168293
Provider Name
Yvonne M Mccall
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1701 W. Garden Street, Peoria, IL, 61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7637
Provider Enumeration Date
12/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5160373-1206 01 UT STATE LICENSE
5160373-8906 01 UT DOPL CONTROLLED SUBSTANCE
085-003423 01 IL STATE LICENSE
1054008 01 UT NCCPA BOARD CERTIFICATION
PRA07224 01 UT MOLINA HEALTHCARE OF UT
institution
Provider Business Practice Location Address Details
Address
1701 W. Garden Street
City
State
Zip
61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7637
person
Provider Business Mailing Address Details
Address
1701 W. Garden Street
City
State
Zip
61605-3531
Phone Number
309-680-7600
Fax Number
309-680-7637
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5160373-1206 (Utah)
Definition
Definition to come...
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